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Your search keyword '"Abdulaziz Almat'hami"' showing total 4 results
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4 results on '"Abdulaziz Almat'hami"'

1. Uterine Artery Embolization Improves Quality of Life in Patients with Pure Adenomyosis: A Single‑Center Experience

Author

Ibrahim Alrashidi, Hayat Alharthy, Faisal Alahmari, Sultan Alammari, Hatim Alobaidi, Abdulwaeed Alruhaimi, Abdulaziz Almat'hami, Abdulrahman Alkhalifah, and Fares Garad

Subjects
adenomyosis, dysmenorrhea and uterine fibroid symptom and health-related quality of life, menorrhagia, uterine artery embolization, Medical physics. Medical radiology. Nuclear medicine, R895-920
Abstract

Aim: The aim of the study was to assess clinical outcomes following uterine artery embolization (UAE) in the treatment of dysmenorrhea and menorrhagia related to pure adenomyosis. Materials and Methods: This was a retrospective analysis of 14 patients with dysmenorrhea and menorrhagia related to pure adenomyosis treated with UAE using polyvinyl alcohol (PVA) between January 2017 and September 2019. The baseline and 3-month and 12-month postintervention outcomes were assessed using Uterine Fibroid Symptom-Health-Related Quality of Life Questionnaire (UFS-QOL), Symptom Severity Score (SSS), and magnetic resonance imaging findings. The median age of the patients was 47 years (28–55). The main clinical presentation was dysmenorrhea and menorrhagia, with a median duration of symptom of 24 (12–84) months. All patients received combined estrogen-progestin and nonsteroidal anti-inflammatory drugs prior to UAE without clinical improvement. Results: According to UFS-QOL and SSS results, the score for distress level was statistically significantly reduced from baseline 4.6 (3.6–5) to 2.25 (1–3.37) (P = 0. 018) after 3 months, and remained stable 12 months later. The score of symptom level was statistically significantly reduced from 4 (3.6–5) at baseline to 1.6 (1–3.58) (P = 0. 018) after 3 months with maintained clinical satisfaction after 12-month follow-up. The junctional zone was statistically significantly reduced from baseline with a median of 33.5 mm (19–79 mm) to 25 mm (8–77 mm) after 3 and 12 months (P = 0.046). The incidence of post-UAE permanent amenorrhea is 71% with a mean age of 49 years. No patient underwent hysterectomy during the follow-up period. Conclusion: UAE using PVA can improve the quality of life in patients with menorrhagia and dysmenorrhea related to adenomyosis. However, larger prospective studies are needed to establish the long-term outcomes and risk of amenorrhea.

Published
2020
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4. Shunt-Preserving Splenic Vein Embolization Using a Vascular Plug for Treatment of Hepatic Encephalopathy

Author

Ali Albenmousa, Maryam Qadri, Mohammad Arabi, and AbdulAziz Almat’hami

Subjects
Aortic dissection, Internal carotid artery dissection, medicine.medical_specialty, business.industry, Vertebral artery dissection, medicine.disease, Atheromatosis, Stenosis, Dissection, Splenic vein, cardiovascular system, medicine, Radiology, Nuclear Medicine and imaging, cardiovascular diseases, Radiology, Thrombus, Cardiology and Cardiovascular Medicine, business
Abstract

Postoperative pathologic investigation revealed that the lesion featured intimo-intimal intussusception of the CCA based on the following findings (Fig 3). The excised carotid wall included media and intima without remarkable hyperplasia (Fig 3a). The elastic fiber layer of the media was preserved intact (Fig 3b). The carotid wall exhibited no stenosis, inflammatory infiltrate, intramural thrombus, atheromatosis, calcification, or malignant change. The transient ischemic attacks disappeared immediately after surgery, and the patient has remained asymptomatic for more than 3 years. Follow-up ultrasonography (Fig 1b) showed the patency of the CCA without any restenosis or thrombus. Although internal carotid artery dissection and vertebral artery dissection are relatively common, CCA dissection without aortic involvement is a very rare neurovascular disorder. Spontaneous CCA dissection occurs far more infrequently, with an estimated prevalence of less than 1% among cervical artery dissections (1). No more than 20 cases with sufficient clinical information have been reported in the English literature since 1960 (1,2). Intimo-intimal intussusception is the infolding of the internal wall in the external wall secondary to circumferential dissection, which was first described as a form of aortic dissection (3). From the pathology standpoint, intimointimal intussusception of CCA is particularly rare. However, this condition can induce an obstruction of the vascular lumen and be responsible for the clinical presentation of intermittent neurologic symptoms such as exanimation, dysphasia, and hemiplegia or even be fatal (4). Clinicians should be aware of the possibility of spontaneous CCA dissection to allow for prompt diagnosis and treatment.

Published
2015

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